Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
You will collaborate with two of your classmates to share ideas and walthamcoretta
You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
Peers submission attached below.. please provide feedback and suggestions individually!!
Peer 1:
Victoria Lyons posted
IV. Implementation Plan
Assess the factors that are likely to affect the implementation of your recommended activities
Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits.
Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step.
Institutional structures
Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018).
Strategies for building buy-in-among different stakeholders, including nursing
Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change.
Financial trends and anticipation of the availability of human resource and project funding
Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmis ...
12/20/21, 3:09 PM Originality Report
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=c09665ed-6675-4ef2-8b38-dcae7653516e&course_id=_169… 1/10
%83
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SafeAssign Originality Report
NURS-6053C-18/NURS-6053N-18-2021-Winter-QTR-Term-wks-1-thru-… • SafeAssign Drafts
%89Total Score: High riskJadiam Lopez
Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
1
Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
12/16/21
02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
%89Attachment 1
Institutional database (4)
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Student paper
Internet (5)
topgradeprofessors paperdue wikipedia
science studycorgi
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View Originality Report - Old Design
Word Count: 2,214
WK3Assgn-LopezJ.docx
2 5 6
1
4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
12/20/21, 3:09 PM Originality Report
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=c09665ed-6675-4ef2-8b38-dcae7653516e&course_id=_169… 1/10
%83
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SafeAssign Originality Report
NURS-6053C-18/NURS-6053N-18-2021-Winter-QTR-Term-wks-1-thru-… • SafeAssign Drafts
%89Total Score: High riskJadiam Lopez
Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
1
Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
12/16/21
02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
%89Attachment 1
Institutional database (4)
My paper Student paper User paper
Student paper
Internet (5)
topgradeprofessors paperdue wikipedia
science studycorgi
Top sources (3)
Excluded sources (0)
View Originality Report - Old Design
Word Count: 2,214
WK3Assgn-LopezJ.docx
2 5 6
1
4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Project pressure ulcer reductionRunning head HEALTH C.docxbriancrawford30935
Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers development in California Health Medical Center (CHMC) to 10% within six months of implementing the new evidence-based protocol.
Objectives
Content
Describe the methods to be used to implement the proposed solution
An electronic system to document pressure ulcer risk assessment and incidence will be created within the hospital’s current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that would trigger wound consult nurses to provide timely advice on and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in admission. Instead of documenting in paper form, they will directly record these findings on an initial risk assessment electronic form and simultaneously make an e-referral to the wound consult nurse if a patient has a pressure ulcer that is a stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for each patient allows various healthcare professionals and members of the interdisciplinary team to have secure access to reliable and current information in real-time (Plaskitt, Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that serves “to plan, coordinate, budget, and manage all aspects of the new system implementation” (p. 244). A team will be assembled to gain much-needed support for the program. This implementation team is vital in engaging various stakeholders in providing support and commitment to the project. The team members include charge nurses, wound consultant nurses, quality improvement nurses, an MD champion and department managers from areas such as education, equipment and information technology (IT) and administration.
An immersion event will be launched to inform and engage all staff members in the project. The event will allow necessary information to be disseminated, share goals and desired outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education through a variety of methods allows training to be received well for recipients with diverse learning styles. Furthermore, ongoing training should be developed and advertised through educational newsletters and emails that provide education reminders and other important information. Shedenhelm et al (2010), also emphasizes provision of multiple opportunities through multiple sites locations at varied times increases turnout. Furthermore, each nursing units will be provided pressure ulcer training bundles that including competencies will be presented.
Regular communication with various constituent groups such be conducted and a means for reporting problems.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
You will collaborate with two of your classmates to share ideas and walthamcoretta
You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
Peers submission attached below.. please provide feedback and suggestions individually!!
Peer 1:
Victoria Lyons posted
IV. Implementation Plan
Assess the factors that are likely to affect the implementation of your recommended activities
Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits.
Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step.
Institutional structures
Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018).
Strategies for building buy-in-among different stakeholders, including nursing
Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change.
Financial trends and anticipation of the availability of human resource and project funding
Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmis ...
12/20/21, 3:09 PM Originality Report
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=c09665ed-6675-4ef2-8b38-dcae7653516e&course_id=_169… 1/10
%83
%6
SafeAssign Originality Report
NURS-6053C-18/NURS-6053N-18-2021-Winter-QTR-Term-wks-1-thru-… • SafeAssign Drafts
%89Total Score: High riskJadiam Lopez
Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
1
Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
12/16/21
02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
%89Attachment 1
Institutional database (4)
My paper Student paper User paper
Student paper
Internet (5)
topgradeprofessors paperdue wikipedia
science studycorgi
Top sources (3)
Excluded sources (0)
View Originality Report - Old Design
Word Count: 2,214
WK3Assgn-LopezJ.docx
2 5 6
1
4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
12/20/21, 3:09 PM Originality Report
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=c09665ed-6675-4ef2-8b38-dcae7653516e&course_id=_169… 1/10
%83
%6
SafeAssign Originality Report
NURS-6053C-18/NURS-6053N-18-2021-Winter-QTR-Term-wks-1-thru-… • SafeAssign Drafts
%89Total Score: High riskJadiam Lopez
Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
1
Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
12/16/21
02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
%89Attachment 1
Institutional database (4)
My paper Student paper User paper
Student paper
Internet (5)
topgradeprofessors paperdue wikipedia
science studycorgi
Top sources (3)
Excluded sources (0)
View Originality Report - Old Design
Word Count: 2,214
WK3Assgn-LopezJ.docx
2 5 6
1
4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Project pressure ulcer reductionRunning head HEALTH C.docxbriancrawford30935
Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers development in California Health Medical Center (CHMC) to 10% within six months of implementing the new evidence-based protocol.
Objectives
Content
Describe the methods to be used to implement the proposed solution
An electronic system to document pressure ulcer risk assessment and incidence will be created within the hospital’s current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that would trigger wound consult nurses to provide timely advice on and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in admission. Instead of documenting in paper form, they will directly record these findings on an initial risk assessment electronic form and simultaneously make an e-referral to the wound consult nurse if a patient has a pressure ulcer that is a stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for each patient allows various healthcare professionals and members of the interdisciplinary team to have secure access to reliable and current information in real-time (Plaskitt, Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that serves “to plan, coordinate, budget, and manage all aspects of the new system implementation” (p. 244). A team will be assembled to gain much-needed support for the program. This implementation team is vital in engaging various stakeholders in providing support and commitment to the project. The team members include charge nurses, wound consultant nurses, quality improvement nurses, an MD champion and department managers from areas such as education, equipment and information technology (IT) and administration.
An immersion event will be launched to inform and engage all staff members in the project. The event will allow necessary information to be disseminated, share goals and desired outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education through a variety of methods allows training to be received well for recipients with diverse learning styles. Furthermore, ongoing training should be developed and advertised through educational newsletters and emails that provide education reminders and other important information. Shedenhelm et al (2010), also emphasizes provision of multiple opportunities through multiple sites locations at varied times increases turnout. Furthermore, each nursing units will be provided pressure ulcer training bundles that including competencies will be presented.
Regular communication with various constituent groups such be conducted and a means for reporting problems.
Running head: IDENTIFYING A CHANGE PROJECT 1
IDENTIFYING A CHANGE PROJECT 4
Identifying a Change Project
Name
Institution
What is the difference between leadership activities and management activities:
Leadership can be described as the conduct of a person when guiding the activities of a given group towards a common goal. The main concept of roles of leadership is based on impacting group activities and adjusting to change Sullivan, E. J. (2013. There is a challenge when considering leadership in the healthcare context because most theories are not formed within the healthcare framework for they were normally established for business contexts and later applied to the healthcare. Management can simply be defined as the process that managers utilize to realize organizational goals. It’s the process of achieving organizational set goals through the available resources.
How do management and leadership activities contribute to the success of change initiatives:
The activities involved in this process include planning, staffing, organizing, directing, controlling, and making decisions in the operations of the system to attain anticipated result and improve its entire performance. Management involves a combination of steps to follow to achieve the set requirements. Leaders look for suitable ways of doing things for instance they will establish the goals and purposes for the people (American Nurses Association, 2010; Sullivan, 2013). Anyone can be a leader without necessarily being in an authority position.
Transformational leadership is necessary along with good management of staff and resources. This entails committing individuals to action, converting those under you into leaders and converting the leaders themselves into change agents. It has less to do with use of power to pressure and suppress others in order to achieve result. Instead, it involves empowering them to understand and own the vision of the organization and trusting them to work towards the goals that profit not just themselves but the organization in general (Sullivan, 2013). In nursing empowerment would result to enhanced patient care, reduced sick days, and less attrition.
Through this, the staff will have higher job satisfaction and there will be higher retention of staff amongst there nursing functions.
What change projects are needed in your agency at this time?
Among the changes required is to ensure nurses practice to the full capacity of their education and training and programs to be formed to ensure nurses attain higher training to much the growing demands in the sector. These can only be achieved through good leadership and proper management. The Company that I work for currently is an insurance company and as a registered nurse case management, there is always area of change especially in reaching pat.
Evidence-Based Practice· Hande, K., Williams, C. T., Robbins, H..docxpauline234567
Evidence-Based Practice
· Hande, K., Williams, C. T., Robbins, H. M., & Christenbery, T. (2017).
Leveling evidence-based practice across the nursing curriculum.The Journal for Nurse Practitioners, 13(1), e17–e22.
. Abstract: Evidence-based practice (EBP) competencies represent essential components of nursing education at all levels. The transition of EBP learning goals from the baccalaureate to the Master of Science in nursing and Doctor of Nursing Practice levels provides a blueprint for the development and advancement of student knowledge, skills, and attitudes. The purpose of this article is to describe 3 nursing curricula related to EBP competencies at the baccalaureate, master's, and Doctor of Nursing Practice levels (Hande, Williams, Robbins, & Christenbery, 2017).
· Sukkarieh-Haraty, O., & Hoffart, N. (2017).
Integrating evidence-based practice into a Lebanese nursing baccalaureate program: Challenges and successes.International Journal of Nursing Education Scholarship,
14(1), 441–442.
. Abstract: Evidence-based practice (EBP) is defined as “the conscientious use of current best evidence in making clinical decisions about patient care.” This paper describes how we have developed the evidence-based practice concept and integrated it into two courses at two different levels of the BSN curriculum. Students apply EBP knowledge and process by using the PICO clinical question (Population, Intervention, Comparison and Outcome), whereby they observe a selected clinical skill, and then compare their observations to hospital protocol and against the latest evidence-based practice guidelines. The assignment for the second course requires students to pick a more complex clinical skill and to support proposed changes in practice with scholarly literature. Assessment of student learning and course evaluation has shown that the overall experience of integrating EBP projects into the curriculum is fruitful for students, clinical agencies, and faculty (Sukkarieh-Haraty & Hoffart, 2017).
· Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020).
Readiness, barriers and potential strength of nursing in implementing evidence-based practice.International Journal of Caring Sciences,
13(2), 1203–1211.
. This article provides methods for identifying the readiness, barriers, and potential strengths of implementing evidence-based practice.
· Lee, S. K. (2016).
Implementing evidence-based practices improves neonatal outcomes.Evidence-Based Medicine,
21(6), 231.
. This journal article provides a framework for identifying and appraising research, as well as implementing change and practices based on research.
Quality and Safety
· Ambutas, S., Lamb, K. V., & Quigley, P. (2017).
Fall reduction and injury prevention toolkit: Implementation on two medical-surgical units.
Medsurg Nursing,
26(3), 175–179, 197.
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Diabetes Management Policy Proposal
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
May 19, 2022
Click to edit Master title style
Click to edit Master title style
Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action.
Policy Proposal
Diabetes Management
2
Click to edit Master title style
Click to edit Master title style
This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes.
Presentation Outline
Policy on Managing Medication Errors
Need for a Policy
Scope of Policy
Strategies to Resolve Mediation Errors
Role of the Hospital Staff
Positive impact on Working Conditions
Issues in the Application of Strategies
Alterative Perspectives on Mitigating Medication Errors
Stakeholder Participation
3
Click to edit Master title style
Click to edit Master title style
The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at
Policy on Managing Medication Errors then
Need for a Policy followed by
Strategies to Resolve Mediation Errors. Then the
Role of the Hospital Staff and the
Positive impact on Working Conditions. Also, we will look at
Issues in the Application of Strategies and the
Alterative Perspectives on Mitigating Medication Errors and finally,
Stakeholder Participation
Policy on Managing Medication Errors
4
Health practitioners should create and advance engaging policies
Many Healthcare departments require modernization
Healthcare policies should be adjusted to meet defined benchmarks
Key stakeholders are vital for successful implementation of proposed policies
Click to edit Master title style
Click to edit Master title style
When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management.
Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pr.
PEER RESPONSES FOR Patient Outcomes and Sustainable ChangeAssess.docxpauline234567
PEER RESPONSES FOR Patient Outcomes and Sustainable Change
Assessment Description
Reflecting on the "IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems," describe how your direct practice improvement project achieves clinical improvement. How will you achieve widespread change? How would the widespread change of your DPI Project be affected if it were implemented in a country with universal health care. Describe how the health outcome would be impacted. Provide supporting evidence.
Shabnampreet Kaur
The IHI module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems, reflects on the presence of small problems in healthcare systems and how to overcome these small problems to build safer systems. Steve Spear used various examples to make the readers understand the concept of small loopholes and workarounds which distract the employees resulting in mistakes and sometimes these mistakes become catastrophes(Institute for Healthcare Improvement, 2022b). Also, he suggested ways to address them and make healthcare safer. My DPI project which is fall prevention among older adults achieves clinical improvement by building stronger techniques for addressing the reasons and suggesting ways to improve strength, gait, and balance using tai chi as the intervention. Currently, at the practice site, there is only a shift-to-shift report as the standard criteria for fall reporting. Many times people forget to bring to the provider's notice that they experience a fall in the past 3 months. And sometimes if falls are reported, the shift duty nurses forget to enter them into the EHR system. Also, there is currently no special protocol for fall screening. Screening and assessment can help providers know about the population prone to falling and then they can work towards achieving the aim of fall prevention by devising various patient-centered interventions, My DPI project will streamline the process of screening all the older adults above the age of 65 years with CDC STEADI Stay Independent questionnaire (Centers for Disease Control and Prevention.,2020). Those screened at risk will undergo assessment for fall risk factors using a Timed up and go, 30-second chair rise and balance test, with identification of medicines as per Beers criteria, measurement of orthostatic blood pressure, and asking about potential home hazards. Those having poor balance gait and strength will be enrolled in a 12-week tai chi exercise program as the intervention. In order to achieve widespread change, teamwork and collaboration are needed at the levels of the project. Potential sources of mistakes will be addressed in the first place, the commonest of all being linking the fall risk assessment to the patient's e-chart. If my DPI project were implemented in a country with universal healthcare, the widespread change of the project will be affected in multiple ways. Universal healthcare coverage means all people have full access to hea.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Strengthening Health Systems through the application of Wireless TechnologyOPS Colombia
Presentación realizada por el Dr. Trishan Panch, de Harvard School of Public Health, el 20 de Septiembre en OPS Colombia, en el espacio de intercambio sobre e-health.
El Dr. Panch, participa, con el auspicio de esta Representación, como conferencista en el IV Congreso Colombiano de Bioingeniería e Ingeniería Biomédica que se realizará en Barranquilla del 21 al 24 de septiembre del 2011.
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
You will write two pages (not including your title page) expressin.docxdanielfoster65629
You will write two pages (not including your title page) expressing your current worldview in regard to the subject of Administration of Justice Organizations. This paper’s content will include how the presentation in the Module/Week 1 Reading & Study folder influences your worldview.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employ.
Improving capacity and quality can help future ready your programGenpact Ltd
The last four decades have seen survival rates for most major cancers markedly improve even as incidence rates have climbed. Such progress is widely attributed to an increased focus on early detection and intervention, particularly with cancers deemed highly “curable” if detected early. Also, many more end-stage cancers today are being rendered manageable for years or even decades, where previous generations of patients with similar diagnoses were given significantly shorter prognoses. With this success comes a host of new needs, mainly in the form of capacity and quality. Timely, affordable, quality care is the great challenge ahead. If this challenge is to be adequately met, community cancer centers need to play a greater role than ever.
Clinical Assignment Quality Improvement Final Project GoalWilheminaRossi174
Clinical Assignment: Quality Improvement Final Project
Goal:
· Combine your Quality Improvement Project Part 1 through Part 3 and finalize the Quality Improvement Project.
· Compose a conclusion for your Quality Improvement Project.
Content Requirements:
1. A description of the clinical issue to be addressed in the project.
2. An assessment of clinical issue that is the focus of the quality improvement project.
3. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
4. An outline of the action plan for the project.
5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
6. Discuss resources including budget, personnel and time needed for the quality improvement project.
7. Discuss potential strategies for implementation and evaluation.
8. Conclusion
Submission Instructions:
· Refine your Quality Improvement Project Part 1, Part 2, and Part 3 based on your instructor's feedback.
· The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
· The final project is to be 8 - 12 pages in length and formatted per current APA, excluding the title, abstract and references page.
· Incorporate a minimum of 12 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).
Running Head: QUALITY IMPROVEMENT PROJECT 3
QUALITY IMPROVEMENT PROJECT
Part 3
June 20, 2021
Quality Improvement Project
Action Plan
Outline
-Defining the scope of the recruitment work plan, nursing residency enhancement, and career development projects.
-Allocation of responsibilities to stakeholders of the project departments.
-Estimate and create workable timelines and activities for each team.
-Note down the budget for the project.
The project involves an action plan to ensure quality improvement in the nursing profession. It is based on the fact that there is a significant shortage of nursing practitioners, which directly affects their quality of service. The action plan itself involves defining the nature of the recruitment work plan, which will be in connection to the newly graduated nurses with no experience and using their feedback on the job to determine if they will retain them. The work plan will involve questionnaire interviews, group sessions, and one-on-one interviews about the state of the job as the nurse continues.
The action plan will also include research on the state of nursing residency facilities at different medical institutions and later crafting proposals to the medical center and the government department involved in their nursing residency facilities with recommendations. Th ...
Aggressive and disruptive behaviors are often seen on inpatient psyc.docxsimonlbentley59018
Aggressive and disruptive behaviors are often seen on inpatient psychiatric units where patients are in their most acute state, and the direct-care staff and nurses responsible for managing such problem behaviors are placed in high-risk situations for adverse events such as physical or psychological assault and trauma. Workplace injuries resulting from such instances are a substantial burden on the unit, administration, and staff member themselves, and consequently, much energy has been expended to formulate approaches to prevent such injuries (Romani et al., 2020). Studies have shown the implementation of staff training initiatives focused on decreased utilization of restraint and seclusion, incorporation of alternative crisis de-escalation strategies, and fostering coping skill development have lowered the incidence of such problem behaviors reducing the risk to both patients and staff (Eblin, 2019; Kantaris et al., 2020; Romani et al., 2020).
There are multiple programs available to facilities and organizations which incorporate such strategies, and the decision to select a program or switch programs can be a monumental undertaking affecting every level of an organization and requiring significant considerations from all stakeholders involved (Spears & McNeely, 2019). One such program is offered from the Mandt System (2020), and a literature search of the programs resulted in a single research study which found an overall positive effect on the aggression and violence from implementation of the Mandt System, but the results could not be validated due to a scarcity of corresponding research (McDade, 2017). McDade (2017) did not find a decrease in the rate of patient to staff incidents at East Mississippi State Hospital after the implementation of the Mandt System.
A descriptive correlational research design can be utilized to answer the following research question: why did the frequency of patient to staff incidents remain the same after the introduction of the Mandt system? This designed appears to offer the flexibility to examine all possible variables in explaining a rather complex research question by examining the relationships between and among all variable combinations to illuminate any possible correlations capable of offering an explanation to the research question (Gray & Grove, 2021). This explanation could then allow further research by allowing future researchers to test the effect of the removal of some variables.
References
Eblin, A. (2019). Reducing seclusion and restraints on the inpatient child and adolescent behavioral health unit: A quality improvement study.
Journal of Child and Adolescent Psychiatric Nursing,
32
(3), 122-128.
https://doi.org/10.1111/jcap.12248
Gray, J.R., & Grove, S.K. (2021).
The practice of nursing research: Appraisal, synthesis, and generation of evidence
(9th ed.). Elsevier.
Kantaris, X., Radcliffe, M., Acott, K., Hughes, P., & Chambers, M. (2020). Training healthcare assistants work.
Business and Government Relations Please respond to the following.docxCruzIbarra161
"Business and Government Relations" Please respond to the following:
Discuss the main reasons why a business should or should not be involved in political discussions or take a political stand. Use terms found in Chapter 9 to demonstrate your understanding of the material. You can submit your initial discussion post and responses in either written or video format (2-3 minutes or less).
.
Business Continuity Planning Explain how components of the busine.docxCruzIbarra161
Business Continuity Planning: Explain how components of the business infrastructure are included in a business continuity plan. Discuss the processes of planning, analysis, design, implementation, testing and maintenance in developing this plan. This assignment must be at least 2 full pages. Apply the 4-C's of writing:
Correct, complete, clear, and concise.
.
More Related Content
Similar to Courses and programs. (2019). HETI. httpswww.heti.nsw.gov.aued
Running head: IDENTIFYING A CHANGE PROJECT 1
IDENTIFYING A CHANGE PROJECT 4
Identifying a Change Project
Name
Institution
What is the difference between leadership activities and management activities:
Leadership can be described as the conduct of a person when guiding the activities of a given group towards a common goal. The main concept of roles of leadership is based on impacting group activities and adjusting to change Sullivan, E. J. (2013. There is a challenge when considering leadership in the healthcare context because most theories are not formed within the healthcare framework for they were normally established for business contexts and later applied to the healthcare. Management can simply be defined as the process that managers utilize to realize organizational goals. It’s the process of achieving organizational set goals through the available resources.
How do management and leadership activities contribute to the success of change initiatives:
The activities involved in this process include planning, staffing, organizing, directing, controlling, and making decisions in the operations of the system to attain anticipated result and improve its entire performance. Management involves a combination of steps to follow to achieve the set requirements. Leaders look for suitable ways of doing things for instance they will establish the goals and purposes for the people (American Nurses Association, 2010; Sullivan, 2013). Anyone can be a leader without necessarily being in an authority position.
Transformational leadership is necessary along with good management of staff and resources. This entails committing individuals to action, converting those under you into leaders and converting the leaders themselves into change agents. It has less to do with use of power to pressure and suppress others in order to achieve result. Instead, it involves empowering them to understand and own the vision of the organization and trusting them to work towards the goals that profit not just themselves but the organization in general (Sullivan, 2013). In nursing empowerment would result to enhanced patient care, reduced sick days, and less attrition.
Through this, the staff will have higher job satisfaction and there will be higher retention of staff amongst there nursing functions.
What change projects are needed in your agency at this time?
Among the changes required is to ensure nurses practice to the full capacity of their education and training and programs to be formed to ensure nurses attain higher training to much the growing demands in the sector. These can only be achieved through good leadership and proper management. The Company that I work for currently is an insurance company and as a registered nurse case management, there is always area of change especially in reaching pat.
Evidence-Based Practice· Hande, K., Williams, C. T., Robbins, H..docxpauline234567
Evidence-Based Practice
· Hande, K., Williams, C. T., Robbins, H. M., & Christenbery, T. (2017).
Leveling evidence-based practice across the nursing curriculum.The Journal for Nurse Practitioners, 13(1), e17–e22.
. Abstract: Evidence-based practice (EBP) competencies represent essential components of nursing education at all levels. The transition of EBP learning goals from the baccalaureate to the Master of Science in nursing and Doctor of Nursing Practice levels provides a blueprint for the development and advancement of student knowledge, skills, and attitudes. The purpose of this article is to describe 3 nursing curricula related to EBP competencies at the baccalaureate, master's, and Doctor of Nursing Practice levels (Hande, Williams, Robbins, & Christenbery, 2017).
· Sukkarieh-Haraty, O., & Hoffart, N. (2017).
Integrating evidence-based practice into a Lebanese nursing baccalaureate program: Challenges and successes.International Journal of Nursing Education Scholarship,
14(1), 441–442.
. Abstract: Evidence-based practice (EBP) is defined as “the conscientious use of current best evidence in making clinical decisions about patient care.” This paper describes how we have developed the evidence-based practice concept and integrated it into two courses at two different levels of the BSN curriculum. Students apply EBP knowledge and process by using the PICO clinical question (Population, Intervention, Comparison and Outcome), whereby they observe a selected clinical skill, and then compare their observations to hospital protocol and against the latest evidence-based practice guidelines. The assignment for the second course requires students to pick a more complex clinical skill and to support proposed changes in practice with scholarly literature. Assessment of student learning and course evaluation has shown that the overall experience of integrating EBP projects into the curriculum is fruitful for students, clinical agencies, and faculty (Sukkarieh-Haraty & Hoffart, 2017).
· Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020).
Readiness, barriers and potential strength of nursing in implementing evidence-based practice.International Journal of Caring Sciences,
13(2), 1203–1211.
. This article provides methods for identifying the readiness, barriers, and potential strengths of implementing evidence-based practice.
· Lee, S. K. (2016).
Implementing evidence-based practices improves neonatal outcomes.Evidence-Based Medicine,
21(6), 231.
. This journal article provides a framework for identifying and appraising research, as well as implementing change and practices based on research.
Quality and Safety
· Ambutas, S., Lamb, K. V., & Quigley, P. (2017).
Fall reduction and injury prevention toolkit: Implementation on two medical-surgical units.
Medsurg Nursing,
26(3), 175–179, 197.
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Diabetes Management Policy Proposal
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
May 19, 2022
Click to edit Master title style
Click to edit Master title style
Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action.
Policy Proposal
Diabetes Management
2
Click to edit Master title style
Click to edit Master title style
This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes.
Presentation Outline
Policy on Managing Medication Errors
Need for a Policy
Scope of Policy
Strategies to Resolve Mediation Errors
Role of the Hospital Staff
Positive impact on Working Conditions
Issues in the Application of Strategies
Alterative Perspectives on Mitigating Medication Errors
Stakeholder Participation
3
Click to edit Master title style
Click to edit Master title style
The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at
Policy on Managing Medication Errors then
Need for a Policy followed by
Strategies to Resolve Mediation Errors. Then the
Role of the Hospital Staff and the
Positive impact on Working Conditions. Also, we will look at
Issues in the Application of Strategies and the
Alterative Perspectives on Mitigating Medication Errors and finally,
Stakeholder Participation
Policy on Managing Medication Errors
4
Health practitioners should create and advance engaging policies
Many Healthcare departments require modernization
Healthcare policies should be adjusted to meet defined benchmarks
Key stakeholders are vital for successful implementation of proposed policies
Click to edit Master title style
Click to edit Master title style
When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management.
Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pr.
PEER RESPONSES FOR Patient Outcomes and Sustainable ChangeAssess.docxpauline234567
PEER RESPONSES FOR Patient Outcomes and Sustainable Change
Assessment Description
Reflecting on the "IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems," describe how your direct practice improvement project achieves clinical improvement. How will you achieve widespread change? How would the widespread change of your DPI Project be affected if it were implemented in a country with universal health care. Describe how the health outcome would be impacted. Provide supporting evidence.
Shabnampreet Kaur
The IHI module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems, reflects on the presence of small problems in healthcare systems and how to overcome these small problems to build safer systems. Steve Spear used various examples to make the readers understand the concept of small loopholes and workarounds which distract the employees resulting in mistakes and sometimes these mistakes become catastrophes(Institute for Healthcare Improvement, 2022b). Also, he suggested ways to address them and make healthcare safer. My DPI project which is fall prevention among older adults achieves clinical improvement by building stronger techniques for addressing the reasons and suggesting ways to improve strength, gait, and balance using tai chi as the intervention. Currently, at the practice site, there is only a shift-to-shift report as the standard criteria for fall reporting. Many times people forget to bring to the provider's notice that they experience a fall in the past 3 months. And sometimes if falls are reported, the shift duty nurses forget to enter them into the EHR system. Also, there is currently no special protocol for fall screening. Screening and assessment can help providers know about the population prone to falling and then they can work towards achieving the aim of fall prevention by devising various patient-centered interventions, My DPI project will streamline the process of screening all the older adults above the age of 65 years with CDC STEADI Stay Independent questionnaire (Centers for Disease Control and Prevention.,2020). Those screened at risk will undergo assessment for fall risk factors using a Timed up and go, 30-second chair rise and balance test, with identification of medicines as per Beers criteria, measurement of orthostatic blood pressure, and asking about potential home hazards. Those having poor balance gait and strength will be enrolled in a 12-week tai chi exercise program as the intervention. In order to achieve widespread change, teamwork and collaboration are needed at the levels of the project. Potential sources of mistakes will be addressed in the first place, the commonest of all being linking the fall risk assessment to the patient's e-chart. If my DPI project were implemented in a country with universal healthcare, the widespread change of the project will be affected in multiple ways. Universal healthcare coverage means all people have full access to hea.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Strengthening Health Systems through the application of Wireless TechnologyOPS Colombia
Presentación realizada por el Dr. Trishan Panch, de Harvard School of Public Health, el 20 de Septiembre en OPS Colombia, en el espacio de intercambio sobre e-health.
El Dr. Panch, participa, con el auspicio de esta Representación, como conferencista en el IV Congreso Colombiano de Bioingeniería e Ingeniería Biomédica que se realizará en Barranquilla del 21 al 24 de septiembre del 2011.
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
You will write two pages (not including your title page) expressin.docxdanielfoster65629
You will write two pages (not including your title page) expressing your current worldview in regard to the subject of Administration of Justice Organizations. This paper’s content will include how the presentation in the Module/Week 1 Reading & Study folder influences your worldview.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employ.
Improving capacity and quality can help future ready your programGenpact Ltd
The last four decades have seen survival rates for most major cancers markedly improve even as incidence rates have climbed. Such progress is widely attributed to an increased focus on early detection and intervention, particularly with cancers deemed highly “curable” if detected early. Also, many more end-stage cancers today are being rendered manageable for years or even decades, where previous generations of patients with similar diagnoses were given significantly shorter prognoses. With this success comes a host of new needs, mainly in the form of capacity and quality. Timely, affordable, quality care is the great challenge ahead. If this challenge is to be adequately met, community cancer centers need to play a greater role than ever.
Clinical Assignment Quality Improvement Final Project GoalWilheminaRossi174
Clinical Assignment: Quality Improvement Final Project
Goal:
· Combine your Quality Improvement Project Part 1 through Part 3 and finalize the Quality Improvement Project.
· Compose a conclusion for your Quality Improvement Project.
Content Requirements:
1. A description of the clinical issue to be addressed in the project.
2. An assessment of clinical issue that is the focus of the quality improvement project.
3. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
4. An outline of the action plan for the project.
5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
6. Discuss resources including budget, personnel and time needed for the quality improvement project.
7. Discuss potential strategies for implementation and evaluation.
8. Conclusion
Submission Instructions:
· Refine your Quality Improvement Project Part 1, Part 2, and Part 3 based on your instructor's feedback.
· The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
· The final project is to be 8 - 12 pages in length and formatted per current APA, excluding the title, abstract and references page.
· Incorporate a minimum of 12 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).
Running Head: QUALITY IMPROVEMENT PROJECT 3
QUALITY IMPROVEMENT PROJECT
Part 3
June 20, 2021
Quality Improvement Project
Action Plan
Outline
-Defining the scope of the recruitment work plan, nursing residency enhancement, and career development projects.
-Allocation of responsibilities to stakeholders of the project departments.
-Estimate and create workable timelines and activities for each team.
-Note down the budget for the project.
The project involves an action plan to ensure quality improvement in the nursing profession. It is based on the fact that there is a significant shortage of nursing practitioners, which directly affects their quality of service. The action plan itself involves defining the nature of the recruitment work plan, which will be in connection to the newly graduated nurses with no experience and using their feedback on the job to determine if they will retain them. The work plan will involve questionnaire interviews, group sessions, and one-on-one interviews about the state of the job as the nurse continues.
The action plan will also include research on the state of nursing residency facilities at different medical institutions and later crafting proposals to the medical center and the government department involved in their nursing residency facilities with recommendations. Th ...
Aggressive and disruptive behaviors are often seen on inpatient psyc.docxsimonlbentley59018
Aggressive and disruptive behaviors are often seen on inpatient psychiatric units where patients are in their most acute state, and the direct-care staff and nurses responsible for managing such problem behaviors are placed in high-risk situations for adverse events such as physical or psychological assault and trauma. Workplace injuries resulting from such instances are a substantial burden on the unit, administration, and staff member themselves, and consequently, much energy has been expended to formulate approaches to prevent such injuries (Romani et al., 2020). Studies have shown the implementation of staff training initiatives focused on decreased utilization of restraint and seclusion, incorporation of alternative crisis de-escalation strategies, and fostering coping skill development have lowered the incidence of such problem behaviors reducing the risk to both patients and staff (Eblin, 2019; Kantaris et al., 2020; Romani et al., 2020).
There are multiple programs available to facilities and organizations which incorporate such strategies, and the decision to select a program or switch programs can be a monumental undertaking affecting every level of an organization and requiring significant considerations from all stakeholders involved (Spears & McNeely, 2019). One such program is offered from the Mandt System (2020), and a literature search of the programs resulted in a single research study which found an overall positive effect on the aggression and violence from implementation of the Mandt System, but the results could not be validated due to a scarcity of corresponding research (McDade, 2017). McDade (2017) did not find a decrease in the rate of patient to staff incidents at East Mississippi State Hospital after the implementation of the Mandt System.
A descriptive correlational research design can be utilized to answer the following research question: why did the frequency of patient to staff incidents remain the same after the introduction of the Mandt system? This designed appears to offer the flexibility to examine all possible variables in explaining a rather complex research question by examining the relationships between and among all variable combinations to illuminate any possible correlations capable of offering an explanation to the research question (Gray & Grove, 2021). This explanation could then allow further research by allowing future researchers to test the effect of the removal of some variables.
References
Eblin, A. (2019). Reducing seclusion and restraints on the inpatient child and adolescent behavioral health unit: A quality improvement study.
Journal of Child and Adolescent Psychiatric Nursing,
32
(3), 122-128.
https://doi.org/10.1111/jcap.12248
Gray, J.R., & Grove, S.K. (2021).
The practice of nursing research: Appraisal, synthesis, and generation of evidence
(9th ed.). Elsevier.
Kantaris, X., Radcliffe, M., Acott, K., Hughes, P., & Chambers, M. (2020). Training healthcare assistants work.
Business and Government Relations Please respond to the following.docxCruzIbarra161
"Business and Government Relations" Please respond to the following:
Discuss the main reasons why a business should or should not be involved in political discussions or take a political stand. Use terms found in Chapter 9 to demonstrate your understanding of the material. You can submit your initial discussion post and responses in either written or video format (2-3 minutes or less).
.
Business Continuity Planning Explain how components of the busine.docxCruzIbarra161
Business Continuity Planning: Explain how components of the business infrastructure are included in a business continuity plan. Discuss the processes of planning, analysis, design, implementation, testing and maintenance in developing this plan. This assignment must be at least 2 full pages. Apply the 4-C's of writing:
Correct, complete, clear, and concise.
.
business and its environment Discuss the genesis, contributing fac.docxCruzIbarra161
business and its environment
Discuss the genesis, contributing factors, modus operandi, effectiveness in generating social pressure, the strategy followed by target companies along with allied aspects with two examples from Canadian mining, manufacturing, telecommunication or utility companies.
minimum of 2000 words and 10 good quality references.
The paper should be properly cited as per
APA format.
.
business and its environment Discuss the genesis, contributing facto.docxCruzIbarra161
business and its environment Discuss the genesis, contributing factors, modus operandi, effectiveness in generating social pressure, the strategy followed by target companies along with allied aspects with two examples from Canadian mining, manufacturing, telecommunication or utility companies. minimum of 2000 words and 10 good quality references. The paper should be properly cited as per APA format.
.
Business BUS 210 research outline1.Cover page 2.Table .docxCruzIbarra161
Business BUS 210 research outline
1.
Cover page
2.
Table of content
3.
Executive summary
4.
Introduction
5.
Business Hypothesis / or Statement/ or the Main Question for the whole research
6.
Literature review
7.
Designing the questionnaires
8.
Pretest/ pilot test
9.
Adjust the questioners
– if required
10.
Collect the data from the official sample
11.
Data Entry
12.
Analysis
13.
Tabulations: Frequencies
“and Cross-tabulation if required”
14.
Report
o
Include the purpose for the business research
o
Time
o
Sample size
o
Location
o
Target
o
Way to collect the data (by email, personal, interview, phone…)
o
Challenges you faced
o
Findings /results
15.
Conclusion
16.
Recommendation
17.
References
18.
Appendixes
o
Questionnaire
o
All tabulations
.
BUS 439 International Human Resource ManagementInstructor Steven .docxCruzIbarra161
BUS 439 International Human Resource Management
Instructor: Steven Foster
Why did Nestle’s decentralized structure, which had brought the company success in the past, no longer fit the new realities of increasing global competition? What were the objectives of the GLOBE initiative? How was it more than just an SAP change?
.
BUS 439 International Human Resource ManagementEmployee Value Pr.docxCruzIbarra161
BUS 439 International Human Resource Management
Employee Value Proposition
Define and discuss EVP – what factors may make it difficult to determine EVP on a global basis? What considerations should be made to clearly understand and make use of this information? Why is EVP important for organizations to understand? What can organizations do to build a differentiated EVP?
.
Bullzeye is a discount retailer offering a wide range of products,.docxCruzIbarra161
Bullzeye is a discount retailer offering a wide range of products, including: home goods, clothing, toys, and food. The company is a regional retailer with 10 brick-and-mortar stores as well as a popular online store. Due to the recent credit card data breaches of various prominent national retail companies (e.g., Target, Home Depot, Staples), the Bullzeye Board of Directors has taken particular interest in information security, especially as it pertains to the protection of credit cardholder data within the Bullzeye environment. The Board has asked executive management to evaluate and strengthen the enterprise’s information security infrastructure, where needed.
In order to respond to the Board regarding their preparedness for a cyber-security attack, the Chief Financial Officer (CFO) has engaged your IT consulting firm to identify the inherent risks and recommend control remediation strategies to prevent or to detect and appropriately respond to data breaches. Your firm has been requested to liaison with the Internal Audit Department during the engagement. Your first step is to gain an understanding of Bullzeye’s IT environment. The Chief Audit Executive (CAE) schedules a meeting with key Bullzeye leadership personnel, including the CFO, Chief Information Officer (CIO), and Chief Information Security Officer (CISO).
The following key information was obtained.
Background
IT Security Framework/Policy -
Bullzeye has an information security policy, which was developed by the CISO. The policy was developed in response to an internal audit conducted by an external firm hired by the CAE. The policy is not based on one specific IT control framework but considers elements contained within several frameworks. An information security committee has been recently formed to discuss new security risks and to develop mitigation strategies.
The meeting will be held monthly and include the CISO and other key IT Directors reporting to the CIO.
In addition, a training program was implemented last year in order to provide education on various information security topics (e.g., social engineering, malware, etc.). The program requires that all staff within the IT department complete an annual information security training webinar and corresponding quiz. The training program is complemented by a monthly e-mail sent to IT staff, which highlights relevant information security topics.
General IT Environment -
Most employees in the corporate office are assigned a standard desktop computer, although certain management personnel in the corporate and retail locations are issued a laptop if they can demonstrate their need to work remotely. The laptops are given a standard Microsoft Windows operating system image, which includes anti-malware/anti-virus software and patch update software among others. In addition, new laptops are now encrypted; however, desktops and existing laptops are not currently encrypted due to budget concerns. The user provisioning.
Building on the work that you prepared for Milestones One through Th.docxCruzIbarra161
Building on the work that you prepared for Milestones One through Three, submit a document that builds upon the previously completed milestone summaries to provide an overall summary of the distribution company’s IT system as a whole. This should illustrate how each individual system component (network, database, web technology, computers, programming, and security systems) interrelates with the others and summarize the importance of IT technologies for the overall system.
.
Budget Legislation Once the budget has been prepared by the vari.docxCruzIbarra161
Budget Legislation
Once the budget has been prepared by the various agencies, it is often moved forward to the legislative body for authorization. The legislation process can result in unintended outcomes and restrictions. Search the internet and news reporting services for a story on an unintended outcome of interest to you and answer the following questions:
How did politics shape the outcome in unexpected ways?
Did “pork” spending or “apportionments and allotments” budget amendments affect the legislation?
Did a mid-year crisis or change in revenue expectations substantially impact the budget legislative action?
Respond to at least two of your classmates’ postings.
Performance Budgeting
Performance budgeting has been attempted at the local level in recent years. Address the issues of performance budgeting while answering the following questions: What attributes of performance budgeting make it particularly suitable to local government budgeting? Will the same attributes be as useful at the federal level? Respond to at least two of your classmates’ postings.
.
Browsing the podcasts on iTunes or YouTube, listen to a few of Gramm.docxCruzIbarra161
Browsing the podcasts on iTunes or YouTube, listen to a few of Grammar Girl's Quick and Dirty Tips series (grammar tips by Mignon Fogarty) or Money Girl's series (financial advice by Laura Adams).
Your Task: Pick a Money Girl or Grammar Girl podcast that interests you. Listen to it, or obtain a transcript on the website and study it for its structure. Is it direct or indirect? Informative or persuasive? How is it presented? What style does the speaker adopt? Was it effective? What changes would you suggest? Write an e-mail that discusses the podcast you analyzed.
.
Brown Primary Care Dental clinics Oral Health Initiative p.docxCruzIbarra161
Brown Primary Care Dental clinics Oral Health Initiative project
The project will consist of three elements:
•
Part 1: Economic Analysis of the Initiative of Choice [
Brown Primary Care Dental clinics Oral Health Initiative
5 pages) .
The economic analysis should include:
Principles of economics for evaluating and assessing the need for the public health initiative
A brief description of whether the initiative is a micro or macroeconomic program
A determination of whether the result of the initiative is a public or private good
A description of the initiative’s financing source
An explanation of how the initiative may affect supply and demand of public health services
•
Part 2: Financial Accounting Analysis (5 pages)
A 5-year proposed budget including major line items (see blank form for proposed budget on NIH grants pagelocated in the course syllabus or here:
Online Article:
U.S. Department of Health and Human Services (2009, June).
Public health service: PHS 398
. Detailed Budget for Initial Budget Period Form Page 4
http://grants.nih.gov/grants/funding/phs398/phs398.html
Grant Application PHS 398. U.S. Department of Health And Human Services Public Health Service.
-An analysis of budget line items, costs, sources of revenue, and deficits
-An analysis of the fiscal soundness and long-term viability of the public -health initiative
•
Part 3: Alternative Funding Sources (5pages)
Part 3: Alternative Funding Sources[ 5 pages
For this part of your Scholar-Practitioner Project you will evaluate funding sources for the public health initiative you selected in Week 2. Then, you will submit a mock grant proposal for an appropriate grant to supplement or allow expansion of your selected public health initiative.
The proposal should include:
•
The public health initiative’s purpose, background, goals, and objectives
•
A description of the funding sources you selected and explanation of why you selected it over others
•
Eligibility and selection criteria for the funding source
•
An explanation of the funds needed and how the funds may be used
•
The adjusted total 5-year budget you completed in week 9 (include all instructor recommendations)
(8 sources/references)
.
BUDDHISMWEEK 3Cosmogony - Origin of the UniverseNature of .docxCruzIbarra161
BUDDHISM
WEEK 3
Cosmogony - Origin of the Universe
Nature of God/Creator
View of Human Nature
View of Good & Evil
View of Salvation
View of After Life
Practices and Rituals
Celebrations & Festivals
Week 3 - Sources
.
Build a binary search tree that holds first names.Create a menu .docxCruzIbarra161
Build a binary search tree that holds first names.
Create a menu with the following options.
Add a name to the list (will add a new node)
Delete a name from the list (will delete a node)
NEXT PAGE
à
Search for a name (will return if the name is in the tree or not)
Output the number of leaves in your tree
Output the tree (Complete an inorder traversal.)
.
Briefly describe the development of the string quartet. How would yo.docxCruzIbarra161
Briefly describe the development of the string quartet. How would you relate this chamber ensemble to modern performing groups such as the jazz quartet? Or to a rock ensemble? What are some of the similarities and differences? Refer to the listening examples in the Special Focus to support your conclusions.
Listening examples:
String Quartet in E-Flat, No. 2
("Joke") by Haydn
String Quartet in C Minor
by Beethoven
String Quartet No. 2, Op. 17
by Bartók
.
Briefly describe a time when you were misled by everyday observation.docxCruzIbarra161
Briefly describe a time when you were misled by everyday observations (that is when you reached a conclusion on the basis of an everyday observation that you later decided was an incorrect conclusion). What type of error in casual inquiry (sources of secondhand knowledge) were you guilty of? Examples include over-generalization, stereotyping, illogical reasoning, etc
.
Broadening Your Perspective 8-1The financial statements of Toots.docxCruzIbarra161
Broadening Your Perspective 8-1
The financial statements of Tootsie Roll are presented below.
TOOTSIE ROLL INDUSTRIES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF
Earnings, Comprehensive Earnings and Retained Earnings (in thousands except per share data)
For the year ended December 31,
2011
2010
2009
Net product sales
$528,369
$517,149
$495,592
Rental and royalty revenue
4,136
4,299
3,739
Total revenue
532,505
521,448
499,331
Product cost of goods sold
365,225
349,334
319,775
Rental and royalty cost
1,038
1,088
852
Total costs
366,263
350,422
320,627
Product gross margin
163,144
167,815
175,817
Rental and royalty gross margin
3,098
3,211
2,887
Total gross margin
166,242
171,026
178,704
Selling, marketing and administrative expenses
108,276
106,316
103,755
Impairment charges
—
—
14,000
Earnings from operations
57,966
64,710
60,949
Other income (expense), net
2,946
8,358
2,100
Earnings before income taxes
60,912
73,068
63,049
Provision for income taxes
16,974
20,005
9,892
Net earnings
$43,938
$53,063
$53,157
Net earnings
$43,938
$53,063
$53,157
Other comprehensive earnings (loss)
(8,740
)
1,183
2,845
Comprehensive earnings
$35,198
$54,246
$56,002
Retained earnings at beginning of year.
$135,866
$147,687
$144,949
Net earnings
43,938
53,063
53,157
Cash dividends
(18,360
)
(18,078
)
(17,790
)
Stock dividends
(47,175
)
(46,806
)
(32,629
)
Retained earnings at end of year
$114,269
$135,866
$147,687
Earnings per share
$0.76
$0.90
$0.89
Average Common and Class B Common shares outstanding
57,892
58,685
59,425
(The accompanying notes are an integral part of these statements.)
CONSOLIDATED STATEMENTS OF
Financial Position
TOOTSIE ROLL INDUSTRIES, INC. AND SUBSIDIARIES (in thousands except per share data)
Assets
December 31,
2011
2010
CURRENT ASSETS:
Cash and cash equivalents
$78,612
$115,976
Investments
10,895
7,996
Accounts receivable trade, less allowances of $1,731 and $1,531
41,895
37,394
Other receivables
3,391
9,961
Inventories:
Finished goods and work-in-process
42,676
35,416
Raw materials and supplies
29,084
21,236
Prepaid expenses
5,070
6,499
Deferred income taxes
578
689
Total current assets
212,201
235,167
PROPERTY, PLANT AND EQUIPMENT, at cost:
Land
21,939
21,696
Buildings
107,567
102,934
Machinery and equipment
322,993
307,178
Construction in progress
2,598
9,243
455,097
440,974
Less—Accumulated depreciation
242,935
225,482
Net property, plant and equipment
212,162
215,492
OTHER ASSETS:
Goodwill
73,237
73,237
Trademarks
175,024
175,024
Investments
96,161
64,461
Split dollar officer life insurance
74,209
.
Briefly discuss the differences in the old Minimum Foundation Prog.docxCruzIbarra161
Briefly discuss the differences in the old Minimum Foundation Program ( 1947 ) and the FEFP ( 1973 ).
What part of the basic FEFP formula ( State Aid = WFTE x BSA - (.96 AV } provides A. equity for students and B. equalization of funding for districts?
Review how student transportation dollars are calculated. What are the two major components?
What is the function of Workforce Development funds?
What are Categorical Program funds? How do they differ from general FEFP funding?
What are the four constructs on which the FEFP is based? ( Page 1--2
nd
paragraph )
Briefly define the following:
Full time equivalent
Program cost factor
Weighted FTE
Base student allocation
District cost differential
Sparsity supplement
Supplemental academic instruction
0.748 Mills Discretionary Compresion (audio is incorrect-changed from Local Discretionary Equalization).
ESE guaranteed allocation
Required local effort
Please answer all in as a mini- brief and follow directions as I tried to be as spicific as possible with the questions.
.
Briefly compare and contrast EHRs, EMRs, and PHRs. Include the typic.docxCruzIbarra161
Briefly compare and contrast EHRs, EMRs, and PHRs. Include the typical content and functionality of each.
Focusing on one of these types of records, describe the key benefits for one of the stakeholders (e.g., patients, providers, or health care management) of being able to record and/or access patient data through this system.
Should all patient health information be recorded electronically? If so, explain why. If not, explain what the exceptions should be and why.
.
Brief Exercise 9-11Suppose Nike, Inc. reported the followin.docxCruzIbarra161
*Brief Exercise 9-11
Suppose
Nike, Inc.
reported the following plant assets and intangible assets for the year ended May 31, 2014 (in millions): other plant assets $954.9; land $226.7; patents and trademarks (at cost) $530.7; machinery and equipment $2,137.2; buildings $967; goodwill (at cost) $207.5; accumulated amortization $59.3; and accumulated depreciation $2,290.
Prepare a partial balance sheet for Nike for these items.
(List Property, Plant and Equipment in order of Land, Buildings and Equipment.)
NIKE, INC.
Partial Balance Sheet
As of May 31, 2014
(in millions)
[removed]
[removed]
$
[removed]
[removed]
$
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
:
[removed]
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$
[removed]
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:
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*Exercise 9-7
Wang Co. has delivery equipment that cost $50,840 and has been depreciated $24,960.
Record entries for the disposal under the following assumptions.
(Credit account titles are automatically indented when amount is entered. Do not indent manually.)
(a)
It was scrapped as having no value.
(b)
It was sold for $37,200.
(c)
It was sold for $19,360.
No.
Account Titles and Explanation
Debit
Credit
(a)
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
(b)
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
(c)
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
*Exercise 9-8
Here are selected 2014 transactions of Cleland Corporation.
Jan. 1
Retired a piece of machinery that was purchased on January 1, 2004. The machine cost $62,160 and had a useful life of 10 years with no salvage value.
June 30
Sold a computer that was purchased on January 1, 2012. The computer cost $37,000 and had a useful life of 4 years with no salvage value. The computer was sold for $5,630 cash.
Dec. 31
Sold a delivery truck for $9,310 cash. The truck cost $23,600 when it was purchased on January 1, 2011, and was depreciated based on a 5-year useful life with a $3,290 salvage value.
Journalize all entries required on the above dates, including entries to update depreciation on assets disposed of, where applicable. Cleland Corporation uses straight-line depreciation.
(Record entries in the order displayed in the problem statement. Credit account titles are automatically indented when amount is entered. Do not indent manually.)
Date
Account Titles and Explanation
Debit
Credit
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
(To record depreciation expense for the first 6 months of 2014)
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[removed]
[remo.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
6. delays will be determined with the help of a fishbone exercise
and will be worked on by all MSU staff
members. The project manager will conduct focus groups and
simultaneous PDSA (Plan, Do, Study,
Act) cycles to generate appropriate interventions to improve the
efficiency of the discharge process and
arrive at a standardized discharge process.
Solution
s will be implemented, measured, and refined.
Sustainability will be maintained through the implementation of
standard operating procedures,
guidelines, and statistical process control (SPC).
The patient discharge process is complex, requiring different
groups including physicians,
nurses, ancillary service staff, patients, and their families to
coordinate. Complex processes tend to be
high in variability. The Six Sigma methodology focuses on
8. decrease variation in the process among the
staff and providers thereby decreasing ED holds and improving
patient satisfaction with the discharge
process.
The PDSA cycle is an iterative model for improving a process
involving four steps. In the first
step, the who, what, when, and where of the plan is developed
in which predicted outcomes are outlined
and tasks are assigned. The plan is implemented in the do phase.
The data and results of the
implementation are analyzed in the study phase. In the act
phase, the plan is either adopted, adapted, or
abandoned based on the outcome from the study phase. If the
plan is not adopted, changes are made to
the plan based on learnings from the previous PDSA cycle and a
new PDSA cycle is initiated. This
10. Members
Attending
Surgeon
MSU MD
The attending surgeon is an expert in the care of
preoperative and postoperative patients, in addition to
surgeries. The attending surgeon will provide medical
oversight of any policy or protocol changes that impact the
patient discharge process in the MSU. The attending surgeon
will also champion the initiative among physician
colleauges.
Clinical
Director
MSU RN, BSN
12. The MSU staff nurse provides direct patient care. In
addition, the bedside nurse is the main advocate for the MSU
patients and their family. The MSU nurse will foster change
at the bedside during shift report and medical rounds. They
will serve as role models and assist in staff education and
policy revisions. Staff nurse champions will also be in
charge of weekly compliance audits and data collection.
Respiratory
Therapy
MSU RRT
The respiratory therapist provides support for critical
respiratory needs. The respiratory therapist will provide
inputs in policy change decisions and serve as a champion
15. The ED of AZ hospital performed an analysis of ED throughput
between April and June 2019. The results of the analysis
showed increase in the number of ED holds, which led to
increased wait times for patients. The results also showed an
increase in the
number of patients leaving the ED without being seen by a
provider. The call to action was for all inpatient units to
implement process
improvements to increase the number of available beds. The
MSU at AZ hospital intends to answer that call with the process
improvements proposed in this Project Charter.
A charge nurse of the MSU will act as the team leader for the
MSUDBN. The charge nurse is an employee of the organization
and works full time in the MSU. The team leader will obtain
approval for the project from the clinical director of the MSU.
The team
leader of this initiative will be responsible for the initial
analysis, design, implementation and test according to the
16. guidelines and
schedule stated in the schedule of work (Table 2). The fishbone
model will be placed in the staff breakroom for convenient
access and
all MSU staff will be encouraged to participate in the fishbone
exercise. Focus groups will be conducted by team members to
discuss
findings from the fishbone exercise and will, over the course of
the following week, perform rapid PDSA cycles to finalize a
standardized discharge process.
Baseline data will be collected to determine the current
percentage of patients discharged by noon in the MSU, length of
stay
(LOS) data in the MSU, percentage of the patients leaving
without being seen in the ED, ED holds and wait time data.
With staff input
from the fishbone analysis the team will identify potential
solutions to increase patient discharges by noon in the MSU.
18. discharge process ($5.00), material for fishbone poster ($15.00),
and staff celebratory thank you lunch at the end of the project
($75.00).
The project budget is $100.00. All project work is anticipated to
occur during regular staff work time hours.
Table 2. Schedule of Work
SCHEDULE OF WORK
DATES HOURS DMAIC ACTIVITY DELIVERABLE
8/22 – 8/30
10
19. D
The team leader will obtain approval for
the project from the clinical director of
the MSU.
Conduct presentation for MSU staff to
highlight ED throughput analysis report
and its call to action for other inpatient
departments to improve discharge process
efficiency.
Determine feasibility of data collection
20. plan including a pilot data collection
Project charter
9/2 – 9/7
6
M
Pilot data collection tool
Begin collecting pre-implementation data
22. A
Disseminate the results of baseline data
collection
Post fishbone diagram for staff input
Standardized
discharge
process to
increase the
number of
discharges by
23. noon in the MSU
9/15 – 9/21
6
Conduct focus groups to review fishbone
diagram results. Focus groups will
determine root cause of delayed
discharges or discharge bottlenecks in the
MSU.
Rapid PDSA cycles will determine what
policies need to be changed or improved
to develop a standardized discharge
process. Plan for twice daily huddles to
24. discuss the effects of and further refine
PDSA cycles
9/22/ – 9/28 4
I
Finalize new standardized discharge
process
Finalize statistical process control tools to
25. ensure post-implementation sustainability
Laminate new
standardized
discharge
process cards
9/29 – 10/5 6
E-mail communication of plan for twice
daily huddles to review adherence to the
new standardized discharge process
Begin twice-daily review huddles
27. Begin final presentation write up
Histogram and
Line graphs
week two
10/21 – 10/23 6
Implementation week three, data
collection and final data analysis
Histogram and
Line graphs
week three
10/25 6
28. C
Present summary to staff with
recommendations
Summary
Histogram and
line graph and
post
implementation
baseline
summary data
Evidence to Support Need
30. increase the percentage of discharges occurring before 11:00
a.m. The intervention consisted moving discharge process steps
to the
night before the discharge and giving the discharge order before
9:00 a.m. on the morning of the discharge. Prior to the
intervention, the
rate of discharges before 11:00 a.m. was 8% and increased to
11% after implementation of the new discharge process. The
study
demonstrated that a multidisciplinary approach to discharge is a
low cost, safe, and effective way to increase discharges before
11:00
a.m. and improve hospital throughput.
Chaiyachati and Chia (2016) measured the effects of targeted
discharge interventions on a hospital’s overall patient flow
using a
quantitative research study. The intervention involved daily
morning discharge rounds to identify who could possibly be
discharged the
32. of
the prospective payment system by Medicare in 1983 which
made changes to the way hospitals were reimbursed.
Reimbursements were
changed from a per-diem basis to a flat payment based on the
diagnosis. Reducing the length of stay was a cost effective way
for the
hospitals to remain competitive (McKenna, et al., 2019). The
completion of this project will ensure that AZ Hospital complies
with the
Joint Commission 2009 Leadership Standard LD.04.03.11 which
rationalizes that “managing the flow of patients throughout their
care
is essential to prevent overcrowding” (Schyve, 2009, p. 31).
Project Purpose/Business Case
The MSU is in a level three tertiary care hospital. The unit
consists of 40 beds serving approximately 7,700 patients a year.
The
33. unit is staffed by a team of hospitalists who cover 12 hour
shifts. The team includes nurses, respiratory therapists, case
managers,
nursing assistants, and housekeeping. The hospital serves an
urban community.
The primary beneficiaries from the MSUDBN project will be
patients. They will benefit from shorter wait times after the
discharge order is given in the MSU. The increased bed
availability will also benefit patients upstream in the ED,
resulting in shorter
admission times and fewer patients leaving the ED without
being seen by a provider. The staff in the MSU will benefit
from a
standardized discharge process. AZ Hospital will benefit from
the increase in revenues afforded by improved hospital
throughput.
SMART Objectives (Specific, Measurable, Attainable, Relevant,
Time-Bound)
36. The MSUDBN project was created to improve bed availability
in the MSU by increasing the percentage of discharges before
noon, which in turn will help reduce ED holds during high
patient volumes. The project’s affect will be minimal during
times of low
patient volumes. The project is intended to contribute to
internal process quality improvement. The project scope will
not be expanded
beyond the MSU environment as this patient population consists
of those coming in through the ED as well as the OR, and other
inpatient units. The project is not intended to be generalizable
to other MSU’s. For this reason, the project is not intended to
be
published in peer-reviewed literature or disseminated outside
the organization.
Project Milestones
38. • Begin collecting pre implementation and current state data on
discharges before noon of all patients in MSU
9/8-9/14
• Baseline data analysis
• Fishbone exercise for staff
• Staff e-mail communication
9/15-9/21
• Focus groups on day and night shifts
• Perform rapid PDSA cycles to address root causes of
discharge delays in the MSU
• Staff e-mail communication
9/22 – 10/5
41. • The project ensures a significant increase in the overall
revenue generated by the hospital.
• The budget for the proposed project is minimal and the project
is scheduled during normal work hours of the staff and does not
require them to put in additional work hours.
Weaknesses
• The proposed project and its processes are not universal and
cannot be applied as is to another hospital. The processes would
require substantial changes as per the differing variables
presented in another organization.
Opportunities
• After the initial implementation of the project, SPC can be
utilized to closely monitor and control the post-implementation
variations in the protocols in the proposed project charter. The
data obtained through statistical process control should be
43. Lack of Communication
High
Mitgation strategy. Lack of communication among the staff
members can have drastic effects
on the project. Miscommunication can cause misunderstanding
between staff members and the
roles they play in the project. Project champions such as staff
nurses responsible for data
collection and process implementation have an additional
responsibility, which is to identify
any instances of miscommunication among team members and
resolve it before it can affect the
project.
Improper Analyzation of Data
Medium
45. such,
there are no foreseeable ethical violations for patients due to the
improvements. The project charter will be submitted to the
Internal
Review Board of AZ hospital to determine if its oversight is
needed.
Constraints
Patient Volumes
The MSUDBN project aims to increase the availability of beds
in the MSU by prioritizing discharges before noon. This in turn
will reduce the percentage of ED holds and the percentage of
patients leaving the ED without being seen during times of high
patient
volumes. However, the effectiveness of the project will be
minimal duing times of low patient volumes. To ensure
adequate patient
volumes, the implementation period for this project was set
47. The presentation of the ED throughput analysis report will
demonstrate to the MSU staff a clear need to improve the
discharge
process in the MSU. The presentation of the analysis will also
help paint a picture of what the future of the discharge process
could look
like after the improvement is realized. The fishbone diagram
will elicit multidisciplinary input, which will both involve and
empower
the stakeholders to identify obstacles to the change. The analyze
phase of DMIAC involves identifying barriers to the current
process
using statistical tools and methods as well as graphs posted in
the staff workroom and weekly e-mails. The focus groups will
allow the
project team to conduct rapid PDSA cycles to address process
deficiencies and develop a new standardized discharge process,
which
will be printed out, laminated, and posted for easy access to
48. staff members working on all shifts in the MSU. The new
process will be
introduced during the implementation phase. Twice-daily
huddles will be conducted to evaluate the discharge readiness of
patients in
the MSU based on the new standardized discharge process. SPC
will be used to maintain sustainability of the project.
Proposed Outcomes
Metric Outcome Measure Process Measure Countermeasure
(optional)
Compliance with new
standardized discharge
process
20% increase in discharges before
noon at the MSU compared to the
49. pre-intervention baseline
• 100% staff compliance
with new discharge
protocol and procedures
• 100% staff compliance
with daily discharge
rounds at the prescribed
time
0% increase in readmission
rates
Data Collection Plan
52. inpatient medical teaching service. Southern Medical Journal,
109(5), 313-317.
http://dx.doi.org/10.14423/SMJ.0000000000000458
Christoff, P. (2018). Running PDSA cycles. Current Problems in
Pediatric and Adolescent Health Care, 48(8), 198-201.
https://doi.org/10.1016/j.cppeds.2018.08.006
Durvasula, R., Kayihan, A., Del Bene, S., Granich, M., Parker,
G., Anawalt, B. D., & Staiger, T. (2015). A multidisciplinary
care pathway
significantly increases the number of early morning discharges
in a large academic medical center. Quality Management in
Healthcare,
24(1), 45-51.
http://dx.doi.org/10.1097/QMH.0000000000000049
El-Eid, G. R., Kaddoum, R., Tamim, H., & Hitti, E. A. (2015).
Improving hospital discharge time: a successful implementation
of Six Sigma
53. methodology. Medicine, 94(12), e633.
http://dx.doi.org/10.1097/MD.0000000000000633
Kaye, D. R., Richardson, C. R., Ye, Z., Herrel, L. A.,
Ellimoottil, C., & Miller, D. C. (2017). Association Between
Patient Satisfaction and Short-
Term Outcomes After Major Cancer Surgery. Annals of Surgical
Oncology, 24(12), 3486-3493.
http://dx.doi.org/10.1245/s10434-017-
6049-2
Schyve, P. M. (2009). Leadership in healthcare organizations: A
guide to joint commission leadership standards [White Paper].
https://psnet.ahrq.gov/issue/leadership-healthcare-
organizations-guide-joint-commission-leadership-standards
McKenna, P., Heslin, S. M., Viccellio, P., Mallon, W. K.,
Hernandez, C., & Morley, E. J. (2019). Emergency department
and hospital crowding:
54. causes, consequences, and cures. Clinical and Experimental
Emergency Medicine, 6(3), 189-195.
http://dx.doi.org/10.15441/ceem.18.022
http://dx.doi.org/10.14423/SMJ.0000000000000458
https://doi.org/10.1016/j.cppeds.2018.08.006
http://dx.doi.org/10.1097/QMH.0000000000000049
http://dx.doi.org/10.1097/MD.0000000000000633
http://dx.doi.org/10.1245/s10434-017-6049-2
http://dx.doi.org/10.1245/s10434-017-6049-2
https://psnet.ahrq.gov/issue/leadership-healthcare-
organizations-guide-joint-commission-leadership-standards
http://dx.doi.org/10.15441/ceem.18.022
Doctoral Project Charter
Use this template to develop the charter for your doctoral
project, replacing the instructional text in the cells with the
required information. Consider making a copy of this template
should you require a second look at the instructions.
55. Part 1General Project Information
Project Name
Name your project here. Be creative. Use a clever, memorable
acronym to identify the project. This will help gain stakeholder
buy-in.
Executive Sponsors
List key supporters using initials here. Briefly describe why
they were chosen (such as fiscal or political support, useful
skills such as marketing ability).
Department Sponsors
List departmental sponsors by initials here. Identify their
departmental roles and why they were chosen to support this
project.
Project Aim
Describe the project’s overarching aim here. Include the goals
you intend to accomplish by the end of the project and their
impact on systems (such as “decrease the number of patients
presenting to the ED without treatment”).
Focus
In this space, describe the specific intervention strategy that
will be used to achieve the project aim. (For the example above,
the project focus might be to use LEAN methodology to
improve hospital throughput.)Project Team
Title
56. Department
Credentials
Role
Project Manager
Include a brief description here of the relevant skills and
experience that qualify this person to lead the initiative. What is
his or her primary organizational role? What other useful
qualities might this person leverage as a contributor to this
project?
Team Members
Describe here each team member’s primary role in the
organization as well as skills or qualifications that could
contribute to the project’s success.
57.
58. Stakeholders
Stakeholder
List here titles, categories, or initials of those who will be
affected by project outcomes and describe the impact on each
individual or group. Remember to include patients and
consumers, describing customer satisfaction, safety, and quality
outcomes.
59. Part 2
Project Overview
Project Description
Include here concise descriptions of who, what, when, where,
and how long. Include a budget estimate if applicable. Describe
the problem, how it was diagnosed, and how its solution aligns
to strategic priorities. Include a timeline and required resources
for the project: staff time, administrative resources, activity
sites, and so on.
Evidence to Support Need
Provide here empirical and contextual evidence to support the
gap, need, or improvement. Consider primary and secondary
data sources, regulatory requirements, clinical practice
guidelines, and benchmarking data. Be sure to include proper
citations and descriptions of integrity and reliability of any data
you provide.
Project Purpose/Business Case
Describe the business or clinical need this project addresses
here. What will the change or improvement accomplish and how
will it impact consumers, staff, and health care system as a
whole?
SMART Objectives (Specific, Measurable, Attainable, Relevant,
60. Time-Bound)
Provide a concise list of objectives using the SMART model
here.
Deliverables
List here the specific high-level products or processes to be
created, such as training materials, policies, or process
improvements.
Project Scope
Specify clearly here what the project will and will not address.
Include all relevant people and processes; this is an opportunity
to address alignment to strategic organizational goals. Be sure
to include a brief discussion of the project’s limitations.
Project Milestones
Describe specific deliverables for each project phase here. For
the development and planning stage, team member recruitment
from each involved department might be a deliverable, for
example. If using PDCA, interim milestones may correspond to
completion of different PDCA cycles. Indicate timeframes in
terms of number of days, weeks, or months. Identify those
responsible for each deliverable.
Part 3
SWOT Analysis
Strengths
Project strengths could include things like executive support or
61. financial resources.Write them here.
Weaknesses
Identify here at least three potential obstacles to a successful
project outcome.
Opportunities
Note here current opportunities to facilitate project success,
such as leveraging existing EMP to implement a clinical
decision support system.
Threats
Identify at least three current or future threats to the project’s
success here. Examples include increased competition or high
staff turnover in the affected department or service line.
Known Major Risks
Rank the SWOT weaknesses and threats listed above here.
Identify at least one high risk and discuss how it might be
mitigated.
Risk Level (Low, Medium, High)
Risk
62. Ethical Considerations
Taking into account PHI, HIPAA, human subject considerations,
equitable care, and IRB oversight, describe here any potential
for human rights violations. Note any vulnerable populations
involved and plans for equitable subject treatment. Describe
data security factors: how data will be accessed and stored,
including team members who will have access to personal
health data and how it will be safeguarded (such as “Only [X]
people will access the EMR”).
Constraints
List here any limits to personnel, funding, scheduling, or other
options, such as a predetermined budget, limited staff, or
deadline.
External Dependencies
63. If the project’s success may depend on external relationships or
resources such as personnel, funding, communica tion channels,
or community resources, describe them here. If there are no
external dependencies, describe internal support.
Communication Strategy
Indicate here how the project manager will communicate to
sponsors, project team, and stakeholders. Describe the means
and frequency of communication, including meetings,
processes, and tools such as charts, wikis, and dashboards.
Proposed Outcomes
Metric
Outcome Measure
Process Measure
Countermeasure (optional)
What is being measured to determine project success
Answers specifically final outcome (“So what?”), such as [X]
percent patient satisfaction rate increase
Measures supporting final outcome such as compliance, time
motion, competency
Measures to ensure that there are no negative consequences in
other areas
64.
65. Data Collection Plan
Describe in detail here the data you will collect and analyze to
determine project success, including how and when it will be
collected per the project milestones described above. Identify
those who will collect, analyze, and store the data and address
the integrity of the process (will it be done by team members or
staff). Explain the integrity of the data sources: will data be
collected from the EMR, online survey, or an internally created
tool? Describe your plan to handle missing data and where you
will securely store the data.
Data Collection Tool
Develop a data collection tool for future use in Excel using
appropriate headers for columns and rows. DO NOT submit the
Excel sheet to the assignment / assessment in NURS/NURS-
FPX9100. Be sure to keep your Excel sheet as a reference and a
possible resource for a future NURS course where it may be
66. reviewed by faculty.
Sheet 1: The data collection tool should include at least one
filtering application and one analytical function (sum, mean,
calculation).
Sheet 2: Add dummy data to show the operation above.
Sheet 3: Based on the dummy data, create a graphic
representation (such as histogram, line graph, bar graph, or pie
chart) to show how the data can be displayed and
communicated.
1
2
1
Doctoral Project Charter Proposal Checklist
Instructions: Faculty and Secondary Reviewers will use this
checklist to review the charter for your doctoral project. Items
checked indicate
the criterion was met. Items NOT checked are either missing or
incomplete.
67. Review the Feedback and incorporate the feedback when
revising the Project Charter Proposal. Failure to incorporate
feedback may result in
deferral of the proposal. Prior to submitting to IRB, please
provide a copy the approved Project Charter and Checklist to
the 9902 faculty for
signature
.
Learner Name: EMPID
Primary Faculty: Secondary Reviewer
Date: Iteration: 1 Decision: Approved
NURS9902 Faculty Attestation: I have reviewed the Project
Charter for the above named learner and can attest the charter
was
approved by two separate reviewers and has not been modified.
(9902 Faculty Name)
68. Part 1
General Project Information: Clearly describes the people who
will be involved in and affected by a project. Description
includes multiple specifics and details that further characterize
participants and narrow the focus
Project Name
2
Named the project.
Acronym to identify the project.
Feedback:
Iteration 1
Iteration 2
69. Iteration 3
Executive Sponsors
List key supporters using initials.
Describes why they were chosen (such as fiscal or political
support, useful skills such as marketing ability).
Feedback:
Iteration 1
Iteration 2
Iteration 3
Departmental Sponsors
List departmental sponsors.
Identifies sponsors departmental roles and why they were
chosen to support this project.
70. Feedback:
Iteration 1
Iteration 2
Iteration 3
3
Project Aim
Describes the project’s overarching aim.
Include the goals you intend to accomplish impact on systems
Feedback:
Iteration 1
Iteration 2
71. Iteration 3
Project Focus
Describes the specific intervention that will be used to achieve
the project aim
Intervention is evidence based and appropriate evidence is
provided and cited appropriately
Intervention meets the scope and rigor for a doctoral level
project
Feedback:
Iteration 1
Iteration 2
Iteration 3
Project Team
Project
Manager
72. Describes the relevant skills and experience that qualify the
person to lead the initiative.
Describes the project managers primary organizational role
Describes the project managers unique contributions to the
project
4
Feedback:
Iteration 1
Iteration 2
Iteration 3
Team
Members
Describes each team member’s primary role in the organization
as well as skills or qualifications that could
contribute to the project’s success.
73. Feedback:
Iteration 1
Iteration 2
Iteration 3
Stakeholders
Lists titles, categories, or initials of those who will be affected
by project outcomes
Describse the impact on each individual or group.
Identifies impact on patients and consumers, customer
satisfaction, safety, and quality outcomes
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
Iteration 2
74. Iteration 3
Part 2
Project Overview: Clearly describes an overview of all aspects
of a project plan. Description includes multiple specifics; is
detailed,
yet concise; and all elements of the plan work together to create
a coherent whole.
Project Description
5
Includes concise descriptions of who, what, when, where, and
how long.
Describes the problem, how it was diagnosed, and how its
solution aligns to strategic priorities.
Includes a timeline and required resources for the project: staff
time, administrative resources, activity sites, and so on.
75. Includes a budget estimate if applicable
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
Iteration 2
Iteration 3
Evidence to Support Need
Provides empirical and contextual evidence to support the gap,
need, or improvement and includes organizational data,
Includes primary and secondary data sources, regulatory
requirements, clinical practice guidelines, and benchmarking
data.
Data and sources are supported by citations and/or personal
communications to ensure academic merit and integrity
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
76. Feedback:
Iteration 1
Iteration 2
Iteration 3
Project Purpose/Business Case
6
Describes the business or clinical need the project addresses
Describes the change or improvement and how will it impact
consumers, staff, and health care system as a whole
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
77. Iteration 1
Iteration 2
Iteration 3
SMART Objectives (Specific, Measurable, Attainable, Relevant,
Time-Bound)
Provides a concise list of objectives using the SMART model.
Feedback:
Iteration 1
Iteration 2
Iteration 3
Deliverables
Lists the specific high-level products or processes that will be
created, such as training materials, policies, or process
improvements.
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
78. reviewed sources
Feedback:
Iteration 1
Iteration 2
Iteration 3
Project Scope
Specifies what the project will and will not address.
Includes all relevant people and processes and addresses
alignment to strategic organizational goals.
Includes a brief discussion of the project’s limitations.
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
7
79. Feedback:
Iteration 1
Iteration 2
Iteration 3
Project Milestones
Describes specific deliverables for each project phase.
Identifies interim milestones including timeframes in terms of
number of days, weeks, or months. Identify those responsible
for each
deliverable.
Project length meets the requirements for doctoral work (DNP
projects must be between 8-10 weeks to allow for enough
data collection and to accumulate the necessary number of
practicum hours).
Feedback:
Feedback:
80. Iteration 1
Iteration 2
Iteration 3
Part 3
SWOT Analysis: Clearly describes the strengths, weaknesses,
opportunities, and threats related to a project plan. Description
identifies knowledge gaps, unknowns, missing information,
unanswered questions, or areas of uncertainty
Strengths
Identifies project strengths could include things like executive
support or financial resources.Write them here.
Weaknesses
Identifies here at least three potential obstacles to a successful
project outcome.
81. Opportunities
8
Identifies current opportunities to facilitate project success
Threats
Identifies at least three current or future threats to the project’s
success
Feedback:
Iteration 1
Iteration 2
Iteration 3
Known Major Risks
82. Ranks the SWOT weaknesses and threats listed and identifies at
least one high risk and discuss how it might be mitigated
Feedback:
Iteration 1
Iteration 2
Iteration 3
Ethical Considerations: Clearly describes the ethical
considerations, constraints, external dependencies, and
communication
strategy of a project plan. Description includes multiple
specifics, examples, and references to relevant, current
scholarly and/or
authoritative sources
9
83. Describes any potential for human rights violations.
The project does not involve vulnerable populations.
Addresses data security factors and includes a description of
how data will be accessed and stored, including team members
who will
have access to personal health data and how it will be
safeguarded
The project, as described, is NOT Research
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
Iteration 2
Iteration 3
Constraints
Identifies any constraints that may limit the project potential (
i.e. personnel, funding, scheduling, or other options, such as a
84. predetermined budget, limited staff, or deadlines)
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
Iteration 2
Iteration 3
External Dependencies
Describes external dependencies such as personnel, funding,
communication channels, or community resources, describe
them here.
If there are no external dependencies, describes internal
support.
Feedback:
Iteration 1
85. Iteration 2
Iteration 3
10
Communication Strategy
Indicates here how the project manager will communicate to
sponsors, project team, and stakeholders.
Describes the means and frequency of communication, including
meetings, processes, and tools such as charts, wikis, and
dashboards.
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
86. Iteration 2
Iteration 3
Proposed Outcomes: Clearly describes the outcome measures
related to a project plan. Plans for each proposed outcome
measure are linked to authoritative evidence.
Describes what is specifically being measured to determine
project success
Operationally defines all outcome, process, counter, or proxy
measures that will be used to evaluate the success of the project
Synthesizes scholarly, authoritative evidence. Synthesis
includes multiple, relevant, and current evidence from peer
reviewed sources
Feedback:
Iteration 1
Iteration 2
Iteration 3
Data Collection Plan: Clearly describes the data collection
87. procedures related to a project plan. Description includes
multiple
specifics, examples, and references to relevant, current
scholarly and/or authoritative sources.
11
Describes the type of data that will be collect and analytical
methods to determine project success
Describes how and when data will be collected per the project
milestones described.
Identifies twho will collect, analyze the data and where the data
will be stored
Addresses the integrity of the data collection process (will it be
done by team members or staff)
Explains the integrity of the data sources.
If using a survey tool, the survey is described in detail
including validity and relability testing and permissions.
Describes the plan to handle missing data and how data will be
securely stored
88. Feedback:
Iteration 1
Iteration 2
Iteration 3
Data Collection Tool
Optional: The data collection tool is included as an Appendix in
the Project Charter Proposal Document
DO NOT submit the excel sheet to the assignment / assessment
in NURS/NURSFPX9100. The sheet will be reviewed by your
faculty
in NURA/NURSFPX9902.
Scolarly Writing and Academic Integrity
Scholarly Evidence and Support: Synthesizes scholarly,
authoritative evidence where indicated within the project
charter. Synthesis
includes multiple, relevant, and current evidence supporting all
parts of the project charter.
89. Feedback:
Iteration 1
Iteration 2
Iteration 3
12
Writes clearly and coherently using communication style and
vocabulary appropriate for scholarly work (no grammar, usage,
or
mechanical errors).
Feedback:
Iteration 1
Iteration 2
Iteration 3
90. Correctly references and cites scholarly and/or authoritative
sources in APA 7th ed.
Feedback:
Iteration 1
Iteration 2
Iteration 3
General Summary Feedback:
Iteration 1
Primary Faculty Name
Iteration 2
Primary Faculty Name
Iteration 3
Primary Faculty Name
91. Topic :Implementation on opiod risk assessment tool from a
multidisciplinary pain management approach age group 18 and
older
By successfully completing this assessment, you will
demonstrate your proficiency in the course competencies
through the following assessment scoring guide criteria:
· Competency 1: Create a project charter to address a clinical or
organizational problem or take advantage of an opportunity for
improvement within a health care setting.
. Clearly describe the people who will be involved in and
affected by a project.
. Clearly describe an overview of all aspects of a project plan.
. Clearly describe the strengths, weaknesses, opportunities, and
threats related to a project plan.
. Clearly describe the ethical considerations, constraints,
external dependencies, and communication strategy of a project
plan.
. Clearly describe the outcome measures related to a project
plan.
. Clearly describe the data collection procedures related to a
project plan.
. Describe a project that could, within 8 to 12 weeks, produce a
92. meaningful, sustainable change in practice or process that can
be empirically evaluated, with minimal or no risk to participants
or the organization.
. Synthesize scholarly, authoritative evidence supporting each
part of the project charter.
· Competency 4: Address assessment purpose in a well-
organized text, incorporating appropriate evidence and tone in
grammatically sound sentences.
. Write clearly and coherently, using communication style and
vocabulary appropriate for scholarly work.
. Correctly reference and cite scholarly and/or authoritative
sources.
Preparation
To successfully prepare for this assessment, you will need to:
· Ensure that your project aligns with your practicum site
expectations and the DNP expectations for doctoral projects.
. Consult this resource for guidance: Acceptable vs.
Unacceptable SoNHS DNP Projects [PDF].
. Definition of Research.
· Conduct a comprehensive review of the literature to gather
data that will support your identified need, intervention, and
assessment “instrument(s)”:
. Focus your research on current resources available through
peer-reviewed articles and professional and government
websites. Current means less than five years old.
93. . Use these research guides for help in identifying scholarly and
authoritative sources:
. Nursing Doctoral (DNP) Research Guide.
. Evidence-Based Practice in Nursing & Health Sciences.
Instructions
Note: The assessments in this course must be completed in the
order presented; subsequent assessments should be built on both
your earlier work and your instructor’s feedback on earlier
assessments. If you choose to submit assessments prematurely,
without considering and integrating your instructor’s feedback,
your assessment may be returned ungraded, resulting in your
loss of an assessment attempt.
This assessment has been identified as a Signature Assessment.
Signature assessments serve a dual purpose: to meet the
competencies in the course where the signature assessment
appears and acquire skills needed to demonstrate competencies
specific to the completion of the Doctoral Project Report.
Learners must successfully meet the established criteria for
demonstrating competence on this assessment in order to
successfully complete the course (see University Policy 3.4.07
Grading). Completion of this course is a program-specific
requirement. Consequently, learners must pass this course in
order to remain in good academic standing (see University
Policy 3.01.04 Academic Standing).
. .
94. For this assessment, you will populate the three parts of
the Project Charter Template [DOCX] with detailed
information. Use the Project Charter Proposal Checklist
[PDF] to ensure all content is included. Faculty will use the
checklist to provide additional feedback
· Part 1 includes these sections:
. General Project Information.
. Project Team.
. You may find the work you did in the Team Effectiveness in
Health Care Settings assessment helpful to you as you complete
this portion of your Project Charter.
· Stakeholders.
· Part 2 is the Project Overview and includes these components:
· Project Description/
. Write the project description in a narrative style. Avoid bullet
points and incomplete sentences.
· Evidence to Support Need (background and significance).
. Be sure to provide the most relevant, data-driven evidence to
support key points.
· Project Purpose/Business Case.
· SMART Objectives (Specific, Measurable, Attainable,
Relevant, Time-Bound).
· Deliverables.
· Project Scope.
· Project Milestones.
95. · Part 3 includes these sections:
Note: You may find the work you did in your Ethics Analysis
assessment helpful as you complete this section of your project
charter.
· SWOT Analysis.
· Known Major Risks.
· Ethical Considerations.
· Constraints.
· External Dependencies.
· Communication Strategy:
. Consider questions like these in your communication
strategy: Will you hold an in-person or video conference-
kickoff meeting? How will you communicate with all involved
parties (email, telephone, periodic meetings, project tools, et
cetera)?
· Proposed Outcomes.
· Data Collection Plan.